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首页> 外文期刊>Journal of Rural and Remote Environmental Health >EVIDENCE-BASED HEALTH PROGRAMME PLANNING IN NORTHERN NIGERIA: RESULTS FROM THE NAHUCHE HEALTH AND DEMOGRAPHIC SURVEILLANCE SYSTEM PILOT CENSUS
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EVIDENCE-BASED HEALTH PROGRAMME PLANNING IN NORTHERN NIGERIA: RESULTS FROM THE NAHUCHE HEALTH AND DEMOGRAPHIC SURVEILLANCE SYSTEM PILOT CENSUS

机译：尼日利亚北部基于证据的健康计划规划：那胡车健康和人口监测系统飞行员普查的结果

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Introduction: In 2009, the Partnership for Reviving Routine Immunisation in Northern Nigeria (PRRINN) Maternal, Newborn and Child Health (MNCH) Programme, in collaboration with the Zamfara State Ministry of Health, launched the Nahuche Health and Demographic Surveillance System (HDSS) in a rural north Nigerian setting. Located in Bungudu Local Government Area in Zamfara State, the Nahuche HDSS will support studies aimed at assessing the impact of health systems interventions by monitoring health as well as demographic events and populations at risk over time. This paper reviews the Nahuche model of surveillance as well as selected demographic, maternal and health indicators and their potential in guiding programme planning particularly in resource-constrained northern Nigeria. Potential interventions to address these challenges are also discussed. Methods: In May 2010, a pilot census (194 households interviewed out of targeted 205 households) was conducted in Nahuche Keku District followed by a full baseline census in September 2010 and periodic event updates of 120- day work cycles which begun in January 2011. Results: Poor maternal and child health indicators were observed. For example, 19.8% of all women (n=131) with live births in the five years preceding the pilot census had received antenatal care from a health professional for their last birth. Only 9.2% reported that their births were delivered by a health professional. An even lower proportion (6.6%) delivered in a health facility with 93.4% of all births occurring at home. Conclusion: Despite the fundamental problems associated with strengthening health systems in northern Nigeria, the Nahuche HDSS will generate opportunities for testing feasible interventions and set the stage for reducing the high maternal and child mortality rates. The Nahuche HDSS is a system to watch based on its location and the enthusiasm of Nigerians to accelerate progress in meeting the Millennium Development Goals of maternal and child mortality.
机译：导言：2009年，尼日利亚北部恢复常规免疫合作伙伴关系（PRRINN）孕产妇，新生儿和儿童保健（MNCH）计划与扎姆法拉州卫生部合作，在尼日利亚启动了纳胡切健康和人口监测系统（HDSS）。尼日利亚北部的乡村环境。 Nahuche HDSS位于赞法拉州邦古杜地方政府地区，将通过监测健康以及人口统计学事件和长期处于危险之中的人口，支持旨在评估卫生系统干预措施影响的研究。本文回顾了Nahuche监视模型以及选定的人口，孕产妇和健康指标及其在指导计划规划中的潜力，尤其是在资源匮乏的尼日利亚北部。还讨论了应对这些挑战的潜在干预措施。方法：2010年5月，在那胡切克库区进行了一次人口普查（在205个目标家庭中采访了194户），随后在2010年9月进行了全面的基线人口普查，并于2011年1月开始了120天工作周期的定期更新。结果：观察到不良的母婴健康指标。例如，在试点普查前的五年中，有活产的所有妇女（n = 131）中有19.8％的妇女在最后一次生育时接受了卫生保健专家的产前护理。只有9.2％的人报告说他们的出生是由卫生专业人员接生的。在医疗机构中分娩的比例更低（6.6％），所有分娩的93.4％是在家中。结论：尽管存在与加强尼日利亚北部卫生系统相关的根本问题，但纳胡什HDSS将为测试可行的干预措施创造机会，并为降低高的母婴死亡率奠定了基础。 Nahuche HDSS是一个根据其位置和尼日利亚人的热情来监视的系统，以加快实现母婴死亡率的千年发展目标的进度。

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